| NPI | 1801386305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 17834) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10345) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2023-10-18 |